Individual
CHRISTOPHER BLAKE COUEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1412 MILSTEAD AVE NE STE 100, CONYERS, GA 30012-3877
(770) 483-9330
Mailing address
120 W WASHINGTON ST, MILLEDGEVILLE, GA 31061-3434
(478) 414-8184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8623
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8623
GEORGIA STATE COMPOSITE BOARD LICENSE
GA
Enumeration date
02/01/2018
Last updated
09/16/2025
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